Individual
DR. ELAINE TERESA ELIEZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
823A SOUTH KING ST, SUITE A, LEESBURG, VA 20175-3920
(703) 771-9330
(703) 771-9333
Mailing address
823A SOUTH KING ST, SUITE A, LEESBURG, VA 20175-3920
(703) 771-9330
(703) 771-9333
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101035559
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232552
BLUE CROSS BLUE SHIELD
VA
Enumeration date
10/12/2006
Last updated
07/09/2007
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